| Mark A. Retterbush | |
|
2311 N Patterson St Valdosta GA 31602-2510 | |
| (229) 244-1633 | |
| (229) 244-4663 |
| Full Name | Mark A. Retterbush |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2311 N Patterson St, Valdosta, Georgia |
| Authorized Official Name and Position | Mark Allen Retterbush (DR/ OWNER) |
| Authorized Official Contact | 2292441633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Retterbush 2311 N Patterson St Valdosta GA 31602-2510 Ph: (229) 244-1633 | Mark A. Retterbush 2311 N Patterson St Valdosta GA 31602-2510 Ph: (229) 244-1633 |
| NPI Number | 1447487939 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 06/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447487939 | NPI | - | NPPES |
| 000272159A | Medicaid | GA | |
| 1356486575 | Other | GA | NPI INDIVIDUAL |
| 9181766 | Other | GA | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9831 (Georgia) | Primary |
Ronald K. Reagin, Jr. D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 N Patterson St, Valdosta, GA 31602 Phone: 229-244-4656 | |
South Georgia Pediatric Denitstry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3227 N Oak Street Ext, Suite A, Valdosta, GA 31605 Phone: 229-247-3200 | |
Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3211 Wildwood Plantation Dr, Valdosta, GA 31605 Phone: 229-242-4441 Fax: 229-242-4471 | |
C Heather Colson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 N Patterson St, Valdosta, GA 31602 Phone: 229-242-2449 Fax: 229-242-2699 | |
North Valdosta Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Northwood Park Dr, Valdosta, GA 31602 Phone: 229-242-0825 Fax: 229-242-0167 | |
Kilby Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St Bldg C1, Valdosta, GA 31602 Phone: 229-247-0200 Fax: 229-241-7474 | |
Affordable Dentures & Implants - Valdosta Iv, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 Norman Dr Ste D, Valdosta, GA 31601 Phone: 229-241-7319 |